JEFFREY L KLOMBERG (Credential# 782046) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JEFFREY L KLOMBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.003883. The credential type is licensed clinical social worker. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 5 Lone Pine Lane, Westport, CT 06880. The current status is active.
Licensee Name | JEFFREY L KLOMBERG |
Credential ID | 782046 |
Credential Number | 58.003883 |
Credential Type | Licensed Clinical Social Worker |
Business Address |
5 Lone Pine Lane Westport CT 06880 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1996-05-03 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-06-01 |
Street Address | 5 LONE PINE LANE |
City | WESTPORT |
State | CT |
Zip Code | 06880 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Philip M Francoeur Jr. | 5 Lone Pine Lane, Westport, CT 06880 | Notary Public Appointment | 1971-10-01 ~ 1976-03-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06880 |
City | WESTPORT |
Zip Code | 06880 |
License Type | Licensed Clinical Social Worker |
License Type + County | Licensed Clinical Social Worker + WESTPORT |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jeffrey A Wallace | Po Box 111, Centerbrook, CT 06409 | Licensed Clinical Social Worker | 1995-04-25 ~ 1996-04-30 |
Jeffrey Gagliardi | 5 Dover Ct., Cheshire, CT 06410 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Marissa A Manzi | 26 Jeffrey La, Berlin, CT 06037 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
Jeffrey P Hodnicki | 105 Woodmere Rd, Stamford, CT 06905-4423 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
Jeffrey J Karako | 715 Redgate Ave, Norfolk, VA 23507-1609 | Licensed Clinical Social Worker | 2011-06-02 ~ 2012-04-30 |
Jeffrey P Kerekes | 43 Lyon St, New Haven, CT 06511-4925 | Licensed Clinical Social Worker | 2017-04-01 ~ 2018-03-31 |
Jeffrey R Nielsen | Po Box 1158, Norwich, VT 05055-1158 | Licensed Clinical Social Worker | 2019-07-01 ~ 2020-06-30 |
Jeffrey W Summerville | 63 Canner St, New Haven, CT 06511 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
Jeffrey M Drobner | 140 Goodhill Road, Weston, CT 06883 | Licensed Clinical Social Worker | 2020-03-01 ~ 2021-02-28 |
Jeffrey M Troutman | 108 West 400 North, Vernal, UT 84078 | Licensed Clinical Social Worker | 2007-04-23 ~ 2008-06-30 |
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Data Provider | Connecticut Department of Consumer Protection |
Jurisdiction | Connecticut |
Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).